Patel, Supen R

Patel, Supen R is an individual health care provider with primary practice located at 600 E Palmetto St , Florence SC 29506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Patel, Supen R can be contacted via phone (843) 667-9414.

Contact Information

Primary practice address
600 E Palmetto St Florence SC 29506
Fax: (843) 667-1362
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 19744 South Carolina

Profile Details

NPI number 1114969359
LBN Legal business name Patel, Supen R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jan 2nd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114969359 NPPES
South Carolina Other 660002624 RAILROAD MEDICARE
South Carolina MEDICAID 89063RJ RAILROAD MEDICARE
South Carolina MEDICAID T37467 RAILROAD MEDICARE

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